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RN - Ambulatory / Clinic

RN - Ambulatory / Clinic

This checklist was electronically signed on September 12, 2026

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

PATIENT RIGHTS

Communicate and obtain information while respecting patient rights, privacy, and confidentiality of information in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Involve the patient and family and respect their role in determining the nature of care to be provided
Meet patient's and families' needs regarding communication, including interpreter services
Provide accurate information to patients and families in a timely manner

COMMUNICATION

Communicate with patients and their companions in a courteous manner
Understand the chain of communication, who to contact, and when
Listen actively to patient concerns and address them appropriately.
Cultural Sensitivity and Language Skills

GENERAL INFECTION CONTROL MEASURES

Aseptic Technique
Standard Precaution
Universal Precaution

TRANSMISSION-BASED PROTOCOL

Airborne Precaution
Contact Precaution
Droplet Precaution
Reverse Precaution
Airborne Precaution
Contact Precaution
Droplet Precaution
Reverse Precaution

CLINICAL SETTINGS

Ambulatory Surgery Clinic
Outpatient Clinic
Physician Office
Surgi-Center

GENERAL PATIENT CARE

Admit and Assess Patients
Advance Directives
Collect Appropriate Data
Discharge Teaching
Patient Prep
Preoperative Teaching

NEUROLOGY

Assess Neurological Signs
Epidurals
Level of Consciousness
Selective Nerve Root Blocks

CARDIOVASCULAR

Assess Heart Tones
Bedside Tele Monitoring
Interpretation of Coagulation Studies
Perform Pulses/Circulation Checks
Pre/Post Op Care Pacemaker

PULMONARY

Assess Breath Sounds
Apply Oxygen
Interpret ABGs
Oximetry
Thoracentesis

GASTROINTESTINAL

Assessment/Patient Care Continued
Flexible Sigmoidoscopy
Hemorrhoid Banding
Insertion/Monitoring NG Tubes
Liver Biopsy
Lap Band Surgery
Paracentesis

GENITOURINARY

Bladder Biopsy
Cystoscopy
Kidney Biopsy
Nephrostomy
Prostate Biopsy
Suprapubic Catheter
Urethral Dilation

ENDOCRINE

Care of Diabetic Patient
Diabetic Teaching

EARS, NOSE, THROAT AND MOUTH

Fiberoptic Laryngoscopy
Mouth Biopsy
Myringotomy
Maxillofacial Prosthetics
Nose Biopsy
Prosthodontics – Restorative Dentistry
Rhinoplasty
Thyroid Aspirate Biopsy
Tonsillectomy

WOUNDS/INTEGUMENT

Application of Burn Dressings
Application of Dressing
Debridement of Wound
Wound Care

OB/GYNE

Electrodesiccation and Curettage (ED&C)
Nipple Reconstruction

MUSCULOSKELETAL

Arthrocentesis
Arthroscopy
Closed Reduction and Internal Fixation
External Hardware and Pin Care
Open Reduction and Internal Fixation
Trigger Point Injections

PLASTICS

Cosmetic
Liposuction
Plastic Surgery

IV THERAPY

Administer IV Medications
Infusion Pumps
Peripheral IV Insertion
Syringe Pumps
Vascular Access Devices Care/Maintenance

OXYGEN ADMINISTRATION

Ambu-Bug
Face Mask
Nasal Cannula
Non-Rebreather Mask
Pulse Oximetry
Venti Mask

NUTRITIONAL THERAPY

Enteral Administration
Lipids
Procalamine
Total Parenteral Nutrition (TPN)

BLOOD

Albumin
Blood
Blood Products

GENERAL PROCEDURES/EQUIPMENT

Apply Immobilizers (Clavicle, Knee, etc.)
Assist with Code Resuscitation
Assist with Lumbar Puncture
Dermabrasion
Drain Removal
Incision and Drainage
Laser
NGT Insertion
Patch Test
Punch Biopsy
Procedure Set Up
Procedures/Equipment Continued
Remove External Fixators with Pin
Scissor Biopsy
Scrub
Screw-Hardware Removal
Set-up Assist Suturing
Staple Removal
Straight/Foley Catheter - Female
Straight/Foley Catheter - Male
Suture Removal
Transcutaneous Electrical Nerve Stimulator (TENS)
Use of Doppler

SPECIMEN COLLECTIONS

Butterfly Stick
Clean Catch Urine
Central Line Draw
Sterile Urine Collection
Stool
Sputum
Venipuncture

MEDICATIONS

Antianginal
Antiarrhythmic Drugs
Anticholinergic
Anticoagulants/Thrombolytics
Antidiabetic Drugs
Anti-Infectives
Anti-Inflammatory/Analgesic Drugs
Antihyperlipidemic Drugs
Antihypertensive
CNS Stimulants
Diuretics
Electrolyte Therapy
Gastrointestinal Drugs
Hormones
Immunosuppressants
Mental Health Medications
Muscle Relaxants
Narcotics/Opioids
Neurocognitive Drugs
Neuromuscular Blocking Agent
Ophthalmic
Pulmonary Drugs
Steroids
Vaccines

AUTOMATED MEDICATION DISPENSING SYSTEMS

Accudose
Metro
Omnicell
Promanager Rx
Pyxis
eMAR

ELECTRONIC DOCUMENTATION

Allscripts
Care360
Cerner (Oracle)
CPSI
eCLinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Soarian

AGE SPECIFIC COMPETENCIES

Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18- 39 years)
Middle adults (39- 64 years)
Older adults (64-79 years)
Elderly adults (80+ years)